Financial Data Template Crosswalk

Differences for FinancialDataTemplate.xlsx

Manufacturer Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs and Biological and Supporting Regulations (CMS-10110) - IRA

Financial Data Template Crosswalk

OMB: 0938-0921

Document [xlsx]
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Differences
Sheet Description
Instructions (Financial Data Template) Added definitions for ASP, Units, WAC and AWP to the notes column of the instructions for the respective field.
File Typeapplication/vnd.openxmlformats-officedocument.spreadsheetml.sheet
File Modified0000-00-00
File Created0000-00-00

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